Doctor visits and therapy CPT 99214 Inpatient — admitted to hospital

Returning patient visit, 30 min cost in Worcester, MA — inpatient

In Worcester, MA, 4 hospitals list a cash price for returning patient office visit, moderate complexity or 30+ minutes as an inpatient: from $107.00 to $631.00, with a median of $182.00. The lowest listed price is at Milford Regional Medical Center — $75.00 less than the median here. Across Massachusetts, the median is $213.89 at 19 hospitals.

Cash prices at 4 facilities across 4 cities for code 99214, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 26, 2026 and Apr 3, 2026.

Lowest$107.00Milford Regional Medical Center
Median$182.00half pay less
Highest$631.00in this market
Difference5.9×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Worcester, MA.

median
Lowest $107.00Highest $686.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Milford Regional Medical Center lowest Milford, MA · (508) 473-1190 Level 4-Est Pt Eval $107.00 $107.00 $107.00 — —
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Milford Regional Medical Center Milford, MA · (508) 473-1190 Inf. Therapy Extend Visit -E/M $143.00 $143.00 $143.00 — —
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Milford Regional Medical Center Milford, MA · (508) 473-1190 Level 4 Established $153.00 $153.00 $153.00 — —
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Milford Regional Medical Center Milford, MA · (508) 473-1190 Lvl 4 Vst (Greater Than 15 Min $167.00 $167.00 $167.00 — —
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Milford Regional Medical Center Milford, MA · (508) 473-1190 Level 4 45 Min Ind Assessment $167.00 $167.00 $167.00 — —
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UMass Memorial Health - Harrington Hospital Southbridge, MA · (508) 765-9771 Est. Pt. Labor Check 121-240 Minutes $171.00 $171.00 — — Apr 3, 2026
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UMass Memorial Medical Center Worcester, MA · (508) 334-1000 Est. Pt. Labor Check 121-240 Minutes $193.00 $193.00 — — Mar 26, 2026
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UMass Memorial Health - Harrington Hospital Southbridge, MA · (508) 765-9771 HC Med Surveillance Per $208.00 $208.00 — — Apr 3, 2026
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UMass Memorial Medical Center Worcester, MA · (508) 334-1000 HC Level 4 Outpatient Est Pt Visit $228.00 $228.00 — — Mar 26, 2026
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UMass Memorial Medical Center Worcester, MA · (508) 334-1000 HC PR Bh Level 4 Outpatient Est Pt Visit $351.00 $351.00 — — Mar 26, 2026
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UMass Memorial Health - Harrington Hospital Southbridge, MA · (508) 765-9771 HC Level 4 Outpatient Est Pt Visit $444.00 $444.00 — — Apr 3, 2026
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UMass Memorial Health - Harrington Hospital Southbridge, MA · (508) 765-9771 HB Bh Medication Management Lvl 4 (30-39 Mins) $444.00 $444.00 — — Apr 3, 2026
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HealthAlliance - Clinton Hospital Leominster, MA · (978) 466-2000 Est. Pt. Labor Check 121-240 Minutes $631.00 $631.00 — — Mar 26, 2026
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HealthAlliance - Clinton Hospital Leominster, MA · (978) 466-2000 HC Level 4 Outpatient Est Pt Visit $686.00 $686.00 — — Mar 26, 2026
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Inpatient: lowest $107.00, median $182.00, highest $631.00 — a 5.9× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $182.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is an office or outpatient visit for a returning patient with moderate complexity decision making, or at least 30 minutes of total clinician time on the visit date. It is often used for managing several chronic conditions or adjusting prescription medicines.

What the price covers

The price covers the clinician's visit. Lab tests, X-rays, procedures and any hospital facility fee at a hospital-owned clinic are billed separately.